CALIFORNIA
SUPPLEMENTAL DISCLOSURES PACKAGE
REQUIRED FOR SALE OF RESIDENTIAL REAL ESTATE
CA-37014-B
The following Disclosures are contained herein:
1. Smoke Detector Statement of Compliance (required)
2. Military Ordnance Disclosure (may be required)
3. Industrial Use Disclosure (may be required)
4. “Homeowner’s Guide to Earthquake Safety” & Earthquake Hazards Disclosure (may be required – link provided)
5. Mello-Roos Disclosure and Disclosure of Supplemental Property Tax
(may be required)
6. Local Option Real Estate Transfer Disclosure (may be required)
7. Notice of San Francisco Bay Conservation and Development Commission Jurisdiction (may be required)
8. “Payment of Transfer Fee Required” Disclosure pursuant to Civ. Code 1102.6e (may be required)
9. “Payment of Transfer Fee Required” form for filing pursuant to Civ. Code 1098.5 (for recording by entity to whom special “transfer fee” is to be paid)
When selling residential real estate, the Smoke Detector Statement of Compliance
must be delivered to the Buyer prior to the sale.
The other Disclosures may be required in certain situations. See the instructions
preceding each of the three additional forms to determine if Seller must deliver these
disclosures to Buyer.
Please note that when selling residential real estate in California, other disclosures may be,
or will be, required, including (but not limited to): Real Estate Transfer Disclosure Statement (required)USLF control number CA-37014
Natural Hazard Disclosure Statement (required) USLF control number CA-37014-A
Lead-based Paint Disclosure (may be required) USLF control number CA-LEAD1
SMOKE DETECTOR STATEMENT OF COMPLIANCE
Required by California Health and Safety Code §13113.8(b)
Address of subject property: _______________________________________________________________________________
1. CALIFORNIA LAW: California law requires that every single-family dwelling and factory-bui lt
housing unit sold on or after January 1, 1986, have an operating smoke detector, approved and
listed by the State Fire Marshal and installed in compliance with the Sta te Fire Marshal’s
regulations. (Health and Safety Code §13113.8)
2. LOCAL REQUIREMENTS: Some local Ordnances impose more strict smoke detector requirements than those imposed by California law. It is therefore important to check wi th local
city or county building and safety departments regarding the applicable smoke detector
requirements for your property.
3. TRANSFEROR’S WRITTEN STATEMENT: California Health and Safety Code §13113.8(b) requires every transferor of any real property containing a single-family dwelling, whether the
transfer is made by sale, exchange, or real property sales contract (installment sales contract), to
deliver to the transferee a written statement indicating that the transferor is in compliance with
California state law concerning smoke detectors.
4. EXCEPTIONS: Exceptions to the state law are generally the same as the except ions to the
Transfer Disclosure Laws.
5. CERTIFICATION: Seller represents that the Property, as of the close of escrow, will be in compliance with Health and Safety Code §13113.8 by having operable smoke detector(s)
approved and listed by the State Fire Marshal installed in accordance with State Fire
Marshal's regulations and in accordance with applicable local Ordnance(s).
_____________________________ _______________________ ___________________
Seller signature Seller’s printed name Date
_____________________________ _______________________ ___________________
Seller signature Seller’s printed name Date
The undersigned Buyer(s) hereby acknowledge(s) receipt of a copy of this document.
_____________________________ _______________________ ___________________
Buyer signature Buyer’s printed name Date
_____________________________ _______________________ ___________________
Buyer signature Buyer’s printed name Date
MILITARY ORDNANCE DISCLOSURE (instructions)
The form is on the next page. These instructions are not part of the form.
§1102.15 Civ. of the California Civil Code states as follows:
The seller of residential real property subject to this article who has actual knowledge of any former federal or
state Ordnance locations within the neighborhood area shall give written notice of that knowledge as soon as
practicable before transfer of title.
For purposes of this section, "former federal or state Ordnance locations" means an area identified by an agency
or instrumentality of the federal or state government as an area once used for military training purposes which
may contain potentially explosive munitions. "Neighborhood area" means within one mile of the residential real
property.
The disclosure required by this section does not limit or abridge any obligation for disclosure created by any
other law or that may exist in order to avoid fraud, misrepresentation, or deceit in the transfer transaction.
If Seller has actual knowledge of former federal or state Ordnance locations (as defined above)
within one mile of the Property, Seller must deliver the Military Ordnance Disclosure to Buyer.
If Seller has no knowledge of such Ordnance location(s), the Military Ordnance Disclosure will
not be used.
MILITARY ORDNANCE DISCLOSURE
Address of real property: __________________________________________________________________________
Address or approximate address of former or current federal or state Ordnance location:__________________________________________________________________________
The seller of residential real property subject to this sale has actual knowledge of the above-
identified former federal or state Ordnance locations within one mile of the real property.
For purposes of this disclosure, "former federal or state Ordnance locations" means an area
identified by an agency or instrumentality of the federal or state government as an area once
used for military training purposes which may contain potentially explosive munitions.
The agency or instrumentality of the federal or state government that designated the area a
“former federal or state Ordnance location,” if known, is: __________________________________________________________________________
This disclosure is made pursuant to § 1102.15 Civ. of the California Civil Code.
_____________________________ _______________________ ___________________
Seller signature Seller’s printed name Date
_____________________________ _______________________ ___________________
Seller signature Seller’s printed name Date
The undersigned Buyer(s) hereby acknowledge(s) receipt of a copy of this document.
_____________________________ _______________________ ___________________
Buyer signature Buyer’s printed name Date
_____________________________ _______________________ ___________________
Buyer signature Buyer’s printed name Date
INDUSTRIAL USE DISCLOSURE (instructions)
The form is on the next page. These instructions are not part of the form.
§1102.17 Civ. of the California Civil Code states as follows:
The seller of residential real property subject to this article who has actual knowledge that the property is adjacent to,
or zoned to allow, an industrial use described in Section 731a Civ. Proc. Of the Code of Civil Procedure, or affected
by a nuisance created by such a use, shall give written notice of that knowledge as soon as practicable before transfer
of title.
§731a Civ. Pro. Of the California Code of Civil Procedure states as follows:
Whenever any city, city and county, or county shall have established zones or districts under authority of law wherein
certain manufacturing or commercial or airport uses are expressly permitted, except in an action to abate a public
nuisance brought in the name of the people of the State of California, no person or persons, firm or corporation shall
be enjoined or restrained by the injunctive process from the reasonable and necessary operation in any such industrial
or commercial zone or airport of any use expressly permitted therein, nor shall such use be deemed a nuisance without
evidence of the employment of unnecessary and injurious methods of operation.
Nothing in this act shall be deemed to apply to the regulation and working hours of canneries, fertilizing plants,
refineries and other similar establishments whose operation produce offensive odors.
If Seller has actual knowledge that Property is in, adjacent to, or affected by a zone or district
allowing manufacturing, commercial or airport use and/or affected by a nuisance created by such
use, then Seller must complete and deliver the Industrial Use Disclosure to Buyer.
If Seller has no knowledge of such industrial use, the Industrial Use Disclosure will not be used.
INDUSTRIAL USE DISCLOSURE
Address of real property: __________________________________________________________________________
Address or approximate address of zone or district allowing manufacturing, commercial or
airport use and/or affected by a nuisance created by such use: __________________________________________________________________________
Nature of industrial use: ______________________________________________________
Description of effect(s) on property: ____________________________________________ _________________________________________________________________________
The Seller of residential real property subject to this sale has actual knowledge of the above-
identified industrial use affecting the subject real property.
This disclosure is made pursuant to § 1102.17 Civ. of the California Civil Code.
_____________________________ _______________________ ___________________
Seller signature Seller’s printed name Date
_____________________________ _______________________ ___________________
Seller signature Seller’s printed name Date
The undersigned Buyer(s) hereby acknowledge(s) receipt of a copy of this document.
_____________________________ _______________________ ___________________
Buyer signature Buyer’s printed name Date
_____________________________ _______________________ ___________________
Buyer signature Buyer’s printed name Date
“Homeowner’s Guide to Earthquake Safety” & Earthquake Hazards Disclosure
If (and only if) the residential dwelling was built prior to 1960, Seller must
deliver to Buyer a copy of the “Homeowner’s Guide to Earthquake Safety”
published pursuant to Section 10149 Bus. & Prof. of the Business and Professions
Code and complete and deliver to Buyer the Earthquake Hazards Disclosure
contained therein . The Earthquake Hazards Disclosure is on page 29 of the
“Guide.” Print the Guide and Disclosure, complete, and deliver to Buyer.
Download the “Guide” (with enclosed “Disclosure”) for free from the following
link. Click the blue underlined download link (or copy the link into the address
window of your internet browser):
https://ssc.ca.gov/forms_pubs/cssc_2005_hogreduced.pdf
If this link fails, go to https://ssc.ca.gov/ (California Seismic Safety Commission) and
follow the links to the “ Homeowner’s Guide to Earthquake Safety 2005 ed. ” or use the
contact information to contact the Commission for help obtaining the form.
Instructions -- “Mello-Roos” Disclosure
A Mello-Roos District is an area where a special tax is imposed on those real property owners
within a Community Facilities District.
For more information, see:
http://en.wikipedia.org/wiki/Mello-Roos
or “google” Mello-Roos
MELLO-ROOS DISCLOSURE AND NOTICE OF SUPPLEMENTAL PROPERTY TAXFOR THE PROPERTY LOCATED AT:
Street Address:
City:
State, Zip:
Mello-Roos Community Facilities Act Disclosure Notice
The property is subject to Mello-Roos as described in the attached district discl osure
notice.
The property is subject to Mello-Roos. I have not been able to obtain a district di sclosure
notice after a good faith effort. However, I have attached a notice from a non-
governmental source that I believe clearly and accurately describes the related tax
liabilities.
The property is not subject to Mello-Roos.
Notice of Your “Supplemental” Property Tax Bill
California property tax law requires the Assessor to revalue real property at the ti me the
ownership of the property changes. Because of this law, you may receive one or two
supplemental tax bills, depending on when your loan closes.
The supplemental tax bills are not mailed to your lender. If you have arranged for your property
tax payments to be paid through an impound account, the supplemental tax bills will not be paid
by your lender. It is your responsibility to pay these supplemental bills directly to t he Tax
Collector.
If you have any question concerning this matter, please call your local Tax Collector's Office. _____________________________________________________________________________
Seller certifies that the information herein is true and correct to the best of the Seller's
knowledge as of the date signed by the Seller.
Seller _________________________________ Date ____________________
Seller _________________________________ Date ____________________
Buyer _________________________________ Date Received __________________
Buyer _________________________________ Date Received __________________
INSTRUCTIONS:
LOCAL OPTION - REAL ESTATE TRANSFER DISCLOSURE STATEMENT
Additional Disclosures that may be required by City or County Ordnances. It is
incumbent upon seller to comply with any such local regulations.
LOCAL OPTION - REAL ESTATE TRANSFER DISCLOSURE STATEMENT
THIS DISCLOSURE STATEMENT CONCERNS THE REAL PROPERTY SITUATED IN THE CITY O F
____________________________________, COUNTY OF __________________________, STATE OF CALIFORNIA,
DESCRIBED AS _____________________________________________________________ .
THIS STATEMENT IS A DISCLOSURE OF THE CONDITION OF THE ABOVE-DESCRIBED PRO PERTY IN
COMPLIANCE WITH ORDNANCE NO. _______________ OF THE ____________ COUNTY
CODE AS OF __________________, 20___. IT IS NOT A WARRANTY OF ANY KIND BY THE SELLER(S) OR ANY
AGENT(S) REPRESENTING ANY PRINCIPAL(S) IN THIS TRANSACTION, AND IS NOT A SUBSTIT UTE FOR ANY
INSPECTIONS OR WARRANTIES THE PRINCIPAL(S) MAY WISH TO OBTAIN. I
SELLER’S INFORMATION
The Seller discloses the following information with the knowledge that even though this is not a warranty, prospective
Buyers may rely on this information in deciding whether and on what terms to purchase the subject property. Seller
hereby authorizes any agent(s) representing any principal(s) in this transaction to provide a copy of this statement to any
person or entity in connection with any actual or anticipated sale of the property.
THE FOLLOWING ARE REPRESENTATIONS MADE BY THE SELLER(S) AS REQUIRED BY THE CITY OR COUNTY
OF __________ AND ARE NOT THE REPRESENTATIONS OF THE AGENT(S), IF ANY. THIS INF ORMATION
IS A DISCLOSURE AND IS NOT INTENDED TO BE PART OF A CONTRACT BETWEEN THE BUYER AND SELLER.
(Example: Adjacent land is zoned for timber production which may be subject to harvest.)
Seller certifies the information herein is true and correct to the best of Seller's knowledge as of the date signed by Seller.
Seller Date ____________________
Seller Date ____________________
II
BUYER(S) AND SELLER(S) MAY WISH TO OBTAIN PROFESSIONAL ADVICE AND/OR INSPECTIONS OF THE
PROPERTY AND TO PROVIDE FOR APPROPRIATE PROVISIONS IN A CONTRACT BETWEEN BUYER AND
SELLER(S) WITH RESPECT TO ANY ADVICE/INSPECTIONS/DEFECTS.
I/WE ACKNOWLEDGE RECEIPT OF A COPY OF THIS STATEMENT.
Seller _________________________ Date________ Buyer _______________________ Date_________
Seller _________________________ Date________ Buyer _______________________ Date_________
Agent (Broker Representing Seller) ________________________ By __________________________ Date_________ (Please Print) (Associate Licensee or Broker-Signature)
Agent (Broker Obtaining the Offer) ________________________ By __________________________ Date_________ (Please Print) (Associate Licensee or Broker-Signature)
A REAL ESTATE BROKER IS QUALIFIED TO ADVISE ON REAL ESTATE.
IF YOU DESIRE LEGAL ADVICE, CONSULT YOUR ATTORNEY.
Instruction: The seller or the seller’s agent(s) shall determine whether the property is within the
jurisdiction of the San Francisco Bay Conservancy and Development Commission, as defined in
Section 66620 of the Government Code. If the property is within the Commission’s jurisdiction,
the following notice shall be attached to the Local Option Transfer Disclosure Statement, or
rendered individually to the buyer.
NOTICE OF SAN FRANCISCO BAY CONSERVATIONAND DEVELOPMENT COMMISSION JURISDICTION
This property is located within the jurisdiction of the San Francisco Bay Conservation and Development Commission. Use and development of the property within the commission’s
jurisdiction may be subject to special regulations, restrictions, and permit requirements.
You may wish to investigate and determine whether they are acceptable to you and your
intended use of the property before you complete your transaction.
Seller _________________________ Date________ Buyer _______________________ Date_________
Seller _________________________ Date________ Buyer _______________________ Date_________
Agent (Broker Representing Seller) ________________________ By __________________________ Date_________ (Please Print) (Associate Licensee or Broker-Signature)
Agent (Broker Obtaining the Offer) ________________________ By __________________________ Date_________ (Please Print) (Associate Licensee or Broker-Signature)
“Payment of Transfer Fee Required” Disclosure
Instructions:
This disclosure is mandated by Civil Code Section 1102.6e in the unusual situation of the
property’s transfer being subject to a “transfer fee” as defined in Section 1098. The “Payment of
Transfer Fee Required” Disclosure shall be provided to the buyer at the same time a s the Real
Estate Transfer Disclosure Statement.
Additional Information:
Per Civil Code Section 1098 and 1098.5, a “transfer fee” includes any fee payment requireme nt imposed within a
covenant, restriction, or condition contained in any deed, contract, security instrument, or othe r document affecting
the transfer or sale of, or any interest in, real property that requires a fee be paid upon transfer of the real property.
However, there are many exceptions. See Section 1098.
Per 1098.5, the person or entity imposing the transfer fee, as a condition of payment of the fee, shall record in the
office of the county recorder for the county in which the real property is located, concurrentl y with the instrument
creating the transfer fee requirement, a separate document that meets all of the following requirements:
(1) The title of the document shall be "Payment of Transfer Fee Required" in at least 14-point boldface type.
(2) The document shall include all of the following information:
(A) The names of all current owners of the real property subject to the transfer fee, and the legal description
and assessor's parcel number for the affected real property.
(B) The amount, if the fee is a flat amount, or the percentage of the sales pri ce constituting the cost of the
fee.
(C) If the real property is residential property, actual dollar-cost examples of the fee for a home priced at
two hundred fifty thousand dollars ($250,000), five hundred thousand dollars ($500,000), and seven
hundred fifty thousand dollars ($750,000).
(D) The date or circumstances under which the transfer fee payment requirement expires, if any.
(E) The purpose for which the funds from the fee will be used.
(F) The entity to which funds from the fee will be paid and specific contact inform ation regarding where
the funds are to be sent.
(G) The signature of the authorized representative of the entity to which funds from the fee will be paid.
A form meeting the above-described characteristics is provided following the Disclosure form
below. Note that it is only for filing by the entity to whom the transfer fees shall be paid, and
need not be provided to the buyer. The form provided to the buyer is the Disclosure Pursuant
to Civil Code Section 1102.6e.
PAYMENT OF TRANSFER FEE REQUIREDDisclosure Pursuant to Civil Code Section 1102.6e
Address and/or description of Property subject to this Disclosure: _____________________________________________________________________________
1. Payment of a transfer fee is required upon transfer of the above-described property.
2. For the asking price of $_________________ for the above-described property, the amount of the transfer fee is $________________ in addition to, and distinct from,
said asking price. The transfer fee is calculated in the following manner: _____________________________________________________________________ __________________________________________________________________________________________________________________________________________
3. The final amount of the fee (as stated in 2., above) may differ if the fee is based upon a percentage of the final sale price.
4. The entity to which the transfer fee shall be paid is: ___________________________ _____________________________________________________________________
5. The purpose(s) for which funds from the fee will be used is/are: _______________________________________________________________________________________________________________________________________________________________________________________________________________
6. The date (if any) or circumstances (if any) upon which the obligation to pay the transfer fee expires is/are: _______________________________________________________________________________________________________________________________________________________________________________________________________________
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Signature of Seller: ___________________________________ Date: __________________
Signature of Seller: ___________________________________ Date: __________________
Signature of Buyer: ___________________________________ Date Received: __________
Signature of Buyer: ___________________________________ Date Received: __________
PAYMENT OF TRANSFER FEE REQUIRED
For Recording in the Office of the County Recorder Pursuant to Civil Code Section 1098.5
Address of Property subject to this Disclosure: _____________________________________________________________________________
1. Names of all current owners of the real property subject to the transfer fee are as follows:
2. The assessor’s parcel number of the above-described property is:
3. The legal description of the above-described property is as follows:
4. The amount of the transfer fee (if the fee is a flat amount) is: If the fee is a percentage of the sale price, the percentage is:
5. If the property is residential property, actual dollar-cost examples of the fee for variously priced homes are as follows:
Home price of $250,000 = additional transfer fee of $_____________________
Home price of $500,000 = additional transfer fee of $_____________________
Home price of $750,000 = additional transfer fee of $_____________________
6. The date or circumstances under which the requirement to pay the fee expires, if any, are as follows:
7. The purpose(s) for which the transfer fee funds will be used is/are as follows:
8. The entity to which funds from the fee will be paid and specific contact information regarding where the funds are to be sent, are as follows:
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Signature of Authorized Representative of Entity to which transfer fee funds will be paid:
Sign: ____________________________________ Print: _______________________________
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